1. Why depression? -- 2. The myth of the old-time doctor -- 3. The myth of the old-time patient -- 4. A more accurate picture of primary care at mid century -- 5. Primary care in crisis -- 6. From world war to magic bullets to mass strategy -- 7. The fall and rise of specialty psychiatry -- 8. "Perfect drugs" for primary care -- 9. The birth of the current treatment paradigm -- 10. From helping the doctor to fixing the system -- 11. Boundaries and limitations -- 12. Dead reckoning and moving forward
Summary
"The authors show that although depressed patients' help-seeking behavior and primary care doctors' clinical approach have changed little over the past half century, the field of primary care medicine has changed dramatically. They describe how the specific diagnoses and treatments developed by psychiatrists in the past 50 years have often collided with the non-specific approaches that dominate primary care practice. In examining the research seeking to close the gap between psychiatry and primary care, Callahan and Berrios offer public health models to explain the ongoing societal burden of depression. By exploring the history of depression in primary care, they open a pathway for improvements in the care of people with depression, where primary care physicians should play a greater leadership role in the future."--BOOK JACKET
Notes
Formerly CIP. Uk
Bibliography
Includes bibliographical references (pages 191-206) and index